<!DOCTYPE html>
<html>
	<head>
		<meta charset="UTF-8">
		<title></title>
		<meta http-equiv="X-UA-Compatible" content="IE=edge">
	    <meta name="viewport" content="width=device-width, initial-scale=1">
	    <link rel="stylesheet" type="text/css" href="__PUBLIC__/lib/bootstrap/css/bootstrap.min.css"/>
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		<script type="text/javascript" src="__PUBLIC__/js/shacha.js" ></script>
	</head>
	<body style="background:transparent;">
			   
				<div class="pad-20">
					<div class="panel panel-default linear">
					  	<div class="panel-heading">注册新会员</div>
					  	<div class="panel-body">
				    		<form class="form-horizontal pp"  action="/Admin/Index/user_add" method="post">
							  <div class="form-group">
							    <label for="inputEmail3" class="col-sm-2 control-label">新会员账号：<span>*</span></label>
							    <div class="col-sm-4">
							      <input type="text" class="form-control" id="inputEmail3" placeholder="" name="account">
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputPassword3" class="col-sm-2 control-label">姓名：<span>*</span></label>
							    <div class="col-sm-4">
							      <input type="text" class="form-control" id="inputPassword3" placeholder="" name="name">
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputPassword3" class="col-sm-2 control-label">邮箱：</label>
							    <div class="col-sm-4">
							      <input type="text" class="form-control" id="inputPassword3" placeholder="" name="email">
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputPassword3" class="col-sm-2 control-label">手机号码：<span>*</span></label>
							    <div class="col-sm-4">
							      <input type="text" class="form-control" id="inputPassword3" placeholder="" name="phone">
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputPassword3" class="col-sm-2 control-label">投资金额：</label>
							    <div class="col-sm-4">
							      <input type="text" class="form-control" id="inputPassword3" placeholder="" name="investmoney">
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputPassword3" class="col-sm-2 control-label">一级密码：<span>*</span></label>
							    <div class="col-sm-4">
							      <input type="password" class="form-control" id="inputPassword3" placeholder="" name="firstpwd" value="123456">
							    </div>
							    <div class="col-sm-3">
								  <p class="pad-top-8" >默认密码123456</p>
								</div>
							  </div>
							  <div class="form-group">
							    <label for="inputPassword3" class="col-sm-2 control-label">确认一级密码：<span>*</span></label>
							    <div class="col-sm-4">
							      <input type="password" class="form-control" id="inputPassword3" placeholder="" name="qr_firstpwd" value="123456">
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputPassword3" class="col-sm-2 control-label">二级密码：<span>*</span></label>
							    <div class="col-sm-4">
							      <input type="password" class="form-control" id="inputPassword3" placeholder="" name="secpwd" value="123456">
							    </div>
							    <div class="col-sm-3">
								  <p class="pad-top-8" >默认密码123456</p>
								</div>
							  </div>
							  <div class="form-group">
							    <label for="inputPassword3" class="col-sm-2 control-label">确认二级密码：<span>*</span></label>
							    <div class="col-sm-4">
							      <input type="password" class="form-control" id="inputPassword3" placeholder="" name="qr_secpwd" value="123456">
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputPassword3" class="col-sm-2 control-label">三级密码：<span>*</span></label>
							    <div class="col-sm-4">
							      <input type="password" class="form-control" id="inputPassword3" placeholder="" name="thirpwd" value="123456">
							    </div>
							    <div class="col-sm-3">
								  <p class="pad-top-8" >默认密码123456</p>
								</div>
							  </div>
							  <div class="form-group">
							    <label for="inputPassword3" class="col-sm-2 control-label">确认三级密码：<span>*</span></label>
							    <div class="col-sm-4">
							      <input type="password" class="form-control" id="inputPassword3" placeholder="" name="qr_thirpwd" value="123456">
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputEmail3" class="col-sm-2 control-label">推荐人账户名：</label>
							    <div class="col-sm-4">
							      <input type="text" class="form-control" id="inputEmail3" placeholder="" name="tjr" value="{$tjr}">
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputEmail3" class="col-sm-2 control-label">密保问题：<span>*</span></label>
							    <div class="col-sm-4">
							      <select name="mbwt" style="width: 100%;height: 34px;padding: 6px 12px;font-size: 14px;line-height: 1.42857143;color: #555;background-color: #fff;background-image: none;border: 1px solid #ccc;border-radius: 4px;">
									  <option value="1">您高中班主任的名字是？</option>
									  <option value="2">您的小学校名是？</option>
									  <option value="3">您母亲的生日是？</option>
									  <option value="4">您配偶的姓名是？</option>
									  <option value="5">您的学号（或工号）是？</option>
									  <option value="6">您的出生地是？</option>
									  <option value="7">您小学班主任的名字是？</option>
									  <option value="8">您父亲的姓名是？</option>
									  <option value="9">您配偶的生日是？</option>
									  <option value="10">您初中班主任的名字是？</option>
									  <option value="11">您母亲的姓名是？</option>
									  <option value="12">您父亲的生日是？</option>
								  </select>
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputEmail3" class="col-sm-2 control-label">答案：<span>*</span></label>
							    <div class="col-sm-4">
							      <input type="text" class="form-control" id="inputEmail3" placeholder="" name="mbdan">
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputEmail3" class="col-sm-2 control-label">身份证号：<span>*</span></label>
							    <div class="col-sm-4">
							      <input type="text" class="form-control" id="inputEmail3" placeholder="" name="cart_id">
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputEmail3" class="col-sm-2 control-label">省·市·地区：</label>
							    <div class="col-sm-4">
							      <input type="text" class="form-control" id="inputEmail3" placeholder="" name="province">
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputEmail3" class="col-sm-2 control-label">开户姓名：<span>*</span></label>
							    <div class="col-sm-4">
							      <input type="text" class="form-control" id="inputEmail3" placeholder="" name="bank_username">
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputEmail3" class="col-sm-2 control-label">银行卡号：<span>*</span></label>
							    <div class="col-sm-4">
							      <input type="text" class="form-control" id="inputEmail3" placeholder="" name="bank_num">
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputEmail3" class="col-sm-2 control-label">开户行：<span>*</span></label>
							    <div class="col-sm-4">
							      <select name="bank_name" style="width: 100%;height: 34px;padding: 6px 12px;font-size: 14px;line-height: 1.42857143;color: #555;background-color: #fff;background-image: none;border: 1px solid #ccc;border-radius: 4px;">
									  <option value="中国工商银行">中国工商银行</option>
									  <option value="招商银行">招商银行</option>
									  <option value="中国农业银行">中国农业银行</option>
									  <option value="中国建设银行">中国建设银行</option>
									  <option value="中信银行">中信银行</option>
									  <option value="中国光大银行">中国光大银行</option>
									  <option value="中国民生银行">中国民生银行</option>
									  <option value="中国银行">中国银行</option>
									  <option value="交通银行">交通银行</option>
									  <option value="兴业银行">兴业银行</option>
									  <option value="上海浦东发展银行">上海浦东发展银行</option>
									  <option value="中国人民银行">中国人民银行</option>
									  <option value="中国邮政储蓄银行">中国邮政储蓄银行</option>
								  </select>
							    </div>
							  </div>
							  <div class="form-group">
							    <label for="inputEmail3" class="col-sm-2 control-label">支行信息：<span>*</span></label>
							    <div class="col-sm-4">
							      <input type="text" class="form-control" id="inputEmail3" placeholder="" name="bank_zhi">
							    </div>
							    <div class="col-sm-3">
								  <p class="pad-top-8" style="color:red;">××省××市××分/支行</p>
								</div>
							  </div>
							  <div class="form-group">
							    <label for="inputPassword3" class="col-sm-2 control-label">激活状态：<span>*</span></label>
							    <div class="col-sm-4">
							      <label class="radio-inline">
									  <input type="radio" name="jhzt" id="inlineRadio1" value="1"> 激活
								  </label>
								  <label class="radio-inline">
									  <input type="radio" name="jhzt" id="inlineRadio2" value="2"> 未激活
								  </label>
							    </div>
							  </div>
							  <div class="form-group">
							    <div class="col-sm-offset-2 col-sm-10">
							      <button type="submit" class="btn btn-primary">提交</button>
							    </div>
							  </div>
							</form>
					  	</div>
					</div>
				</div>
			</div>
		</div>
	</body>
</html>
